Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key Stakeholders’ Perspectives

Different stakeholders play varying roles in shaping up adolescent sexual behaviours that, in turn, influence their sexual experiences. In Zimbabwe, it has been reported that adolescents from cultural districts exhibit poor sexual health outcomes as compared to other districts. Therefore, this study...

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Main Authors: Wilfred Njabulo Nunu, Lufuno Makhado, Jabu Tsakani Mabunda, Rachel Tsakani Lebese
Format: Article
Language:English
Published: SAGE Publishing 2021-04-01
Series:Health Services Insights
Online Access:https://doi.org/10.1177/11786329211013553
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author Wilfred Njabulo Nunu
Lufuno Makhado
Jabu Tsakani Mabunda
Rachel Tsakani Lebese
author_facet Wilfred Njabulo Nunu
Lufuno Makhado
Jabu Tsakani Mabunda
Rachel Tsakani Lebese
author_sort Wilfred Njabulo Nunu
collection DOAJ
description Different stakeholders play varying roles in shaping up adolescent sexual behaviours that, in turn, influence their sexual experiences. In Zimbabwe, it has been reported that adolescents from cultural districts exhibit poor sexual health outcomes as compared to other districts. Therefore, this study sought to explore the role of different key community stakeholders in the indigenous health system and how it impacts on adolescent sexual health issues. The study further explored how the indigenous health system could be integrated into the modern health system. A qualitative cross-sectional survey was conducted on purposively and snowballed respondents in Umguza and Mberengwa districts. Interviews and focus group discussions were used to gather and record data from participants. The recorded data were transcribed verbatim, translated to English, coded and thematically analysed on MAXQDA Analytics Pro 2020. Four superordinate and 12 subordinate themes emerged from the data during analysis. Stakeholders play varied roles in adolescents’ upbringing and support though there are contradicting teachings from the indigenous health system and modern health system. It is possible to integrate these two systems though there were foreseen logistical challenges and clashes in the values and belief systems. Participants made suggestions on how these challenges could be overcome. There is a window of opportunity to pursue the suggested ways of integrating indigenous health systems and modern health systems for improved adolescent sexual health outcomes.
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spelling doaj.art-65e64b2f939d4488ad6984e9287892302022-12-21T21:58:32ZengSAGE PublishingHealth Services Insights1178-63292021-04-011410.1177/11786329211013553Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key Stakeholders’ PerspectivesWilfred Njabulo Nunu0Lufuno Makhado1Jabu Tsakani Mabunda2Rachel Tsakani Lebese3Department of Environmental Science and Health, Faculty of Applied Sciences, National University of Science and Technology, Bulawayo, ZimbabweDepartment of Public Health, School of Health Sciences, University of Venda, Thohoyandou, South AfricaDepartment of Public Health, School of Health Sciences, University of Venda, Thohoyandou, South AfricaSchool of Health Sciences, University of Venda, Thohoyandou, South AfricaDifferent stakeholders play varying roles in shaping up adolescent sexual behaviours that, in turn, influence their sexual experiences. In Zimbabwe, it has been reported that adolescents from cultural districts exhibit poor sexual health outcomes as compared to other districts. Therefore, this study sought to explore the role of different key community stakeholders in the indigenous health system and how it impacts on adolescent sexual health issues. The study further explored how the indigenous health system could be integrated into the modern health system. A qualitative cross-sectional survey was conducted on purposively and snowballed respondents in Umguza and Mberengwa districts. Interviews and focus group discussions were used to gather and record data from participants. The recorded data were transcribed verbatim, translated to English, coded and thematically analysed on MAXQDA Analytics Pro 2020. Four superordinate and 12 subordinate themes emerged from the data during analysis. Stakeholders play varied roles in adolescents’ upbringing and support though there are contradicting teachings from the indigenous health system and modern health system. It is possible to integrate these two systems though there were foreseen logistical challenges and clashes in the values and belief systems. Participants made suggestions on how these challenges could be overcome. There is a window of opportunity to pursue the suggested ways of integrating indigenous health systems and modern health systems for improved adolescent sexual health outcomes.https://doi.org/10.1177/11786329211013553
spellingShingle Wilfred Njabulo Nunu
Lufuno Makhado
Jabu Tsakani Mabunda
Rachel Tsakani Lebese
Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key Stakeholders’ Perspectives
Health Services Insights
title Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key Stakeholders’ Perspectives
title_full Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key Stakeholders’ Perspectives
title_fullStr Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key Stakeholders’ Perspectives
title_full_unstemmed Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key Stakeholders’ Perspectives
title_short Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key Stakeholders’ Perspectives
title_sort indigenous health systems and adolescent sexual health in umguza and mberengwa districts of zimbabwe community key stakeholders perspectives
url https://doi.org/10.1177/11786329211013553
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